In periodic paralysis, all the following are precipitating factors EXCEPT

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Pediatric Musculoskeletal Disorders Questions

Question 1 of 5

In periodic paralysis, all the following are precipitating factors EXCEPT

Correct Answer: A

Rationale: A heavy fat meal is not a recognized trigger for periodic paralysis; the others (e.g., licorice via hypokalemia) can precipitate attacks.

Question 2 of 5

Myasthenia gravis should be differentiated from other causes of neuromuscular blockade as organophosphate chemicals, botulism, and tick paralysis. Of the following, the MOST specific diagnostic test is

Correct Answer: C

Rationale: Anti-acetylcholine receptor (AChR) antibodies are the most specific diagnostic test for myasthenia gravis, present in 85-90% of cases.

Question 3 of 5

Enhancers of nonheme iron absorption are

Correct Answer: A

Rationale: Ascorbic acid (vitamin C) is explicitly listed as an enhancer of nonheme iron absorption in the text, making A the primary correct choice.

Question 4 of 5

Volume depletion without renal insufficiency may cause a disproportionate increase in the BUN, with little or no change in the creatinine concentration. This increase in the BUN may be absent or blunted in a child with

Correct Answer: C

Rationale: Poor protein intake reduces urea production, blunting BUN elevation, as BUN reflects protein metabolism.

Question 5 of 5

A specific sign of severe dehydration is

Correct Answer: C

Rationale: Reduced and mottled cutaneous perfusion is a specific sign of severe dehydration, indicating poor circulation.

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